1995; 85(12): 1642-1649. http://www.mentalhealthcommission.gov/reports/FinalReport/toc.html, Adapting Your Practice: Treatment and Recommendations for Homeless Patients with HIV/AIDS (HRSA), A clinical guidebook written by clinicians with extensive experience caring for individuals who are homeless and who routinely adapt their medical practice to foster better outcomes for these patients. 0 0000004953 00000 n These studies are concentrated primarily in five institutes: the National Institute on Drug Abuse (NIDA), the National Institute on Mental Health (NIMH), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), the National Institute on Child Health and Development (NICHD), and the National Institute on Nursing Research (NINR). The data in this report is from the Treatment Episode Data Set (TEDS) 2002 Supplemental Data Set on living arrangements of people admitted for substance abuse treatment. 0000005502 00000 n The strategy is available from: . o Identify and promote innovative outreach and engagement activities successfully operating in existing programs, such as mobile health clinics, outreach workers who function as case managers, and innovative clinic-based programs that operate through the Health Care for the Homeless Program and the PATH program. Thus, while the Department will develop its own data strategies internally, it will be paramount to also coordinate our efforts and integrate data across multiple Federal departments. Furthermore, the Department has been pursuing a strategy over the past several years of increasing access to mainstream resources for eligible homeless individuals and families. The ADHD goal-setting process goes beyond the simple desire of "improving symptoms" and establishes observable, measurable objectives that are meaningful for the individual. In order to improve the accessibility and take advantage of the funding and capacity available within the mainstream programs, the Department has engaged in a range of strategies to increase access to mainstream resources for persons experiencing homelessness. There are two new elements that represent the greatest departure from the 2003 Strategic Action Plan and deserve to be highlighted for their magnitude and breadth. 0000001805 00000 n Since the inception of the Treatment for Homeless program, over 10,000 persons have received grant-supported services. 0000028719 00000 n The report also explores the extent to which mainstream service-delivery programs supported by HHS, i.e., those not specifically targeted to homelessness, could generate performance measures on the extent to which homeless persons are served and with what effect. Support services that will assist the youth in moving and adjusting to a safe and appropriate alternative living arrangement include:treatment, counseling, information and referral services, individual assessment, crisis intervention, and follow up support. 2. Members of the Secretarys Work Group on Ending Chronic Homelessness. Ninety percent of grant dollars awarded are used for preventive activities, and/or housing activities for youth who are at-risk of experiencing homelessness or are already in a homeless situation, and ten percent of funds are used for support services. You and your mental health provider will work together to define your long-term objectives from treatment. Much of the funding awarded by HHS is distributed in the form of block grants to states, allowing states to prioritize and direct the funding towards the needs they have prioritized, which may be different than their neighboring states. Appendix E: Comparison of Goals and Strategies: 2003 Strategic Action Plan and 2007 Strategic Action Plan. Treatment Plan Goals Download Treatment planning is a team effort between the patient and the counselor. WRITING YOUR STRATEGIC PLAN5 EXAMPLE GOALS & OBJECTIVES6 Goals for Alcohol-related indicators6 INTERVENING VARIABLE 1: Low Enforcement of alcohol-related laws7 INTERVENING VARIABLE 2: LOW PERCEIVED RISK OF LEGAL CONSEQUENCES10 INTERVENING VARIABLE 3: RETAIL ACCESS TO ALCOHOL11 INTERVENING VARIABLE 4: Youth Social Access (for youth only)15 o Encourage states and communities to experiment with various approaches to creating a coordinated, comprehensive approach to addressing homelessness prevention (e.g. The plan calls for engaging key stakeholders in a collaborative community-response model, with critical attention given to meet the needs of diverse communities including Aboriginal people, youth with disabilities, newcomers and LGBTQ2S youth. An increasing number of the people accessing HIV/AIDS services and housing have histories of homelessness, mental illness, and chemical dependency. The intent of this new plan is to refine the goals and strategies of the 2003 Plan to reflect the changing set of challenges and priorities four years after the development of the first plan. Monthly progress notes document consumer progress relative to goals identified in the Individualized Service Plan, and indicates where treatment goals have not yet been achieved. Lessons learned from this disaster have led the Department to carefully consider how HHS should prepare for and respond to homelessness and human service needs in future disasters, and how the structure of the Work Group might be used as a tool for future natural disasters. Appropriate Facilities to Support Programs- Abode Services facilities portfolio includes owned and lease properties that allow the agency to most cost effectively provide community-based services. As a flexible block grant awarded to states and U.S. Webb, David A., Culhane, Jennifer, Metraux, Stephen, Robbins, Jessica, and Culhane, Dennis. Decent Essays. Offer comprehensive children's services that include: As a twenty-one year old agency with a history of innovation, Abode Services has developed an outstanding pool of human, financial and material resources that enables us to accomplish our goals and objectives. Programs are funded through states, disproportionately impacted metropolitan areas, community health centers, dental schools, and health care programs that target women, infants, youth, and families. Strategy 4.2 Develop an approach for establishing baseline data on the number of homeless individuals and families served in HHS programs. 2003 Strategic Action Plan Goal 1: Help eligible, chronically homeless individuals receive health and social services. 0000001260 00000 n The 2007 Plan has both internal and external audiences and thus may be utilized in various ways. The 2007 Plan was circulated throughout the HHS operating and staff division heads prior to being finalized by the Department and made public. The Community Mental Health Services Block Grant(CMHSBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula grant to states and territories for providing mental health services to people with serious mental illnesses. Provide re-housing and support services for homeless households as part of the Alameda County Homeless Prevention Rapid Re-housing Program. A: This is an achievable and reasonable goal for anyone looking to advance in their career. Each year, approximately one percent of the U.S. population, some 2-3 million individuals, experiences a night of homelessness that puts them in contact with a homeless assistance provider, and at least 800,000 people are homeless in the United States on any given night (Burt et al 2001). The 2003 Plan has served as the framework for developing and implementing activities across the Department related to chronic homelessness. HHS work in the area of homelessness fits well with the Departments mission and priorities. 50 parents attended ten-week parenting support groups. hTP=o [uZu^Pv"52hFwgKyQ0=&KX \qr #,%1@2K nN%{~g (G/:W9lAV%j xref HHS Budget Growth- Mainstream Programs FY 2003-FY 2006, Key Research and Programmatic Activities Between 2003 - 2006. Develop and advance a policy and funding agenda to end youth homelessness. If taking a look . At the federal level, most mainstream programs are not required to collect data related to the number of homeless clients served. Vulnerable groups who may be at-risk of homelessness include individuals with disabilities, immigrants, persons leaving institutions (e.g., incarceration- including juvenile detention facilities, inpatient care for psychiatric or chronic medical conditions), youth aging out of foster care, frail elderly, persons experiencing abuse, and disaster victims. 0000012413 00000 n o Examine how HHS agencies can synthesize, sponsor, or conduct epidemiological, intervention, and health services research on risk and protective factors for homelessness and identify preventive interventions that could be provided in health care and human services settings that are effective at preventing at-risk persons from entering a pattern of residential and personal instability that may result in homelessness. o Encourage federal agencies to incorporate language into their program funding guidance that authorizes applicants to use HHS and other federal funds to create and/or support programmatic strategies that formulate an integrated safety net for poor and disabled individuals and families, where appropriate. 85% of those who obtain permanent housing will maintain it for at least a year and 65% will maintain permanent housing for at least three years. Childhood risk factors for homelessness among homeless adults. The purpose of the Family Violence Prevention and Services program, operated by the Administration for Children and Families, is to fund grants to state agencies, territories and Indian Tribes for the provision of shelter to victims of family violence and their dependents, and for related services, such as emergency transportation and child care. The Mental Health Block Grant provides funds to States to create comprehensive, community-based systems of mental health care. 0000037847 00000 n o Monitor the development of HUDs Homeless Management Information Systems (HMIS) and seek opportunities to partner with HUD and local Continuums of Care on future research initiatives utilizing HMIS data, while maintaining the confidentiality of personally identifying information about individuals served by domestic violence programs. Broad Community Volunteer Support- More than 800 people from over 100 businesses, churches, and community groups volunteer at our organization annually. American Journal for Public Health. Much of the data we collect is recorded and tracked using Alameda County's Homeless Information Management System (HMIS), an integrated countywide database that tracks homeless housing and service outcomes in the region. Adding a New Goal Focusing On Data and Performance Measurement. HCH works within guidelines for the Community Health Center (Health Center) program. xref 0000012884 00000 n Strategy 2.3 Explore ways to maintain program eligibility. Currently, there are 80 active properties on which numerous services are provided to homeless individuals and/or families. 0000097505 00000 n Evidence of the growing number of homeless families supports the expanded scope of the Departments strategic action plan to include homeless families with children. will provide treatment planning services (confirming proposed interventions that are consistent with the included diagnosis and objectives) when existing goals/objectives are met and if the client's condition 0000004377 00000 n Provide benefits acquisition assistance for sources that include, but are not limited to, SSI, TANF, GA, childcare and transportation. o Support state grantees to seek appropriate HHS funds to support the implementation of their Policy Academy action plans to address homelessness. The Homeless Policy Academies were designed to offer states an opportunity to bring together a team of policy-makers, providers, and program leaders to spend three days working on a strategic action plan to increase access to mainstream services for people experiencing chronic homelessness. Although goals and objectives have similar purposes for patient recovery, they do have slight differences. In October 2003, 11 grantees received funding for three years, FY 2003-2005. The PADD program protects the legal and human rights of all persons with developmental disabilities. The purpose of the 2007 Plan is to provide the Department with a vision for the future in the form of a formal statement that addresses how individuals, youth, and families experiencing homelessness can be better served through the coordinated administration of Departmental resources. Here are some journal articles with practical guidelines and research on integrative, psychological assessment and intervention with people seeking treatment in this population: Dadlani, M.B., Overtree, C., & Perry-Jenkins, M. (2012). Frequently Asked Questions about Measurable Goals and . Provide housing retention services including household budgeting and landlord mediation assistance. A Status Report on Hunger and Homelessness in Americas Cities: A 23-City Survey, December 2006, available on-line at: http://www.mayors.org/uscm/hungersurvey/2006/report06.pdf. Goal 1: Prevent episodes of homelessness within the HHS clientele, including individuals and families Goal 2: Help eligible, homeless individuals and families receive health and social services Goal 3: Empower our state and community partners to improve their response to individuals and families experiencing homelessness Where feasible and appropriate in HHS programs, identify ways to mitigate the long-term impact of homelessness as a result of disasters. Ensure youth are not discharged into homelessness from housing programs, child protection services, health and correctional systems. American Journal of Public Health. These should be action oriented and reflect both best practices and community-identified needs. Major Plan Revisions. A cornerstone effort of the increased focus on chronic homelessness was the development of the Collaborative Initiative to Help End Chronic Homelessness, also known as the Chronic Homelessness Initiative (CHI), an innovative demonstration project coordinated by the ICH and jointly funded by HUD, HHS (SAMHSA and HRSA) and the VA. Recognizing that homelessness is an issue that cuts across various agencies in the federal government, this unique effort across the Department offered permanent housing and supportive service funding through a consolidated application process. It is further assumed that no proposals will be implemented without resolving any inherent budget implications. Connection to mainstream resources including services for further assessment and treatment. Specific one-year goals with outcome indicators are included in the Annual Action Plan. 1996; 276(8): 640-646. Each objective will need a completion date. This report highlights efforts of many States to use Federal Block Grant funds for mental health and substance abuse services to provide more effective care for people who are homeless. The principals that form the philosophical underpinnings of the Secretarys 500 Day Plan are applicable to persons experiencing homelessness, particularly the first principal which reads care for the truly needy, foster self-reliance. Appendix A provides an overview of the HHS programs that may serve persons currently experiencing, or at risk of, homelessness. The Substance Abuse Prevention and Treatment Block Grant (SAPTBG), operated by the Substance Abuse and Mental Health Services Administration (SAMHSA), is a formula block grant to states to provide substance abuse treatment and prevention services to individuals in need. Treatment for Individuals - SAMHSA - Substance Abuse and Mental Health . Coordinate diverse funding sources to maximize impact on youth homelessness. The team includes the Executive Director, Chief Financial Officer, Chief Operations Officer, Director of Housing, Clinical Director, Supportive Housing Director, Director of Development and Community Outreach Director. Final report was published in March 2006 and is available at: http://www.nhchc.org/Research/RespiteRpt0306.pdf, The DASIS Report: Homeless Admissions to Substance Abuse Treatment: 2004(SAMHSA), A short report based on the SAMHSAs Drug and Alcohol Services Information System (DASIS), the primary source of national data on substance abuse treatment. FY 2006 (millions), Grants for the Benefit of Homeless Individuals (Treatment for Homeless), Projects for Assistance in Transition from Homelessness (PATH), Community Mental Health Services Block Grant, Family Violence Prevention and Services Grant Program, Maternal and Child Health Services Block Grant, State Childrens Health Insurance Program, Substance Abuse Prevention and Treatment Block Grant. 1998; 88(9): 1325-1329. Projects for Assistance in Transition from Homelessness(PATH). Rather, the expanded scope will reflect the work related to addressing homelessness for families and children, as well as youth, which is already ongoing and critical to the mission of the Department of Health and Human Services, in addition to the Departmental priority to end chronic homelessness. It also did not address how HHS data activities would be coordinated with other federal departments important data activities related to homelessness, such as the creation and utilization of HUDs Homeless Management Information System (HMIS). For example, the Health Resources and Services Administration (HRSA) strategic plan for fiscal years 2005-2010 (http://www.hrsa.gov/about/strategicplan.htm) discusses how the agency measures its progress by monitoring a variety of performance measures that are linked to the goals and objectives set out in the strategic plan. Health Centers serve homeless individuals as appropriate, therefore, Centers located in communities that do not have HCH programs may serve persons who are homeless. Preventing Overdose 2. The purpose of the Street Outreach Program is to provide educational and prevention services to runaway, homeless and street youth who have been subject to, or are at risk of, sexual exploitation or abuse. A series of articles that report the study findings will be published in the Journal of Community Psychology in 2007. In 2002, the President announced the creation of the New Freedom Commission on Mental Health and charged the Commission to study the mental health service delivery system, and to make recommendations that would enable adults with serious mental illnesses and children with serious emotional disturbance to live, work, learn, and participate fully in their communities. xbbc`b``3 @ Washington DC. This reassessment should happen at least weekly. About half of all people in the United States will be diagnosed with a mental disorder at some point in their lifetime. 193 47 Promising Strategies to End Youth Homelessness (ACF). It has been the Departments experience that it does not yet have an established data approach by which to track its success in addressing homelessness. Burt, M., Aron, L.Y., Douglas, T., Valente, J., Lee, E., & Iwen, B. Likewise, there should be a Department-wide approach to measuring the effectiveness of the homeless assistance programs, and of the Departments strategic action plan. 0000002951 00000 n Street outreach programs must have access to local emergency shelter space that is an appropriate placement for young people and that can be made available for youth willing to come in off the streets. Rebecca S. Ashery, Public Health Analyst, Office of Minority and Special Populations, Health Resources and Services Administration, Benita Baker,Public Health Analyst, Division of Healthy Start and Perinatal Services, Maternal and Child Health Bureau, Health Resources and Services Administration, Joanne Gampel, Social Science Analyst, Division of State and Community Assistance, Co-Occurring and Homeless Activities Branch, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration, Denise Juliano-Bult, Chief, Systems Research Program, Division of Services and Intervention Research, National Institute of Mental Health, National Institutes of Health, Charlene LeFauve, Chief, Co-Occurring and Homeless Activities Branch, Acting Chief, Data Infrastructure Branch, Center for Substance Abuse Treatment, Division of State and Community Assistance, Substance Abuse and Mental Health Services Administration, Valerie Mills, Senior Public Health Advisor, Office of Policy, Planning and Budget, Substance Abuse and Mental Health Services Administration, Elaine Parry, Director of Special Initiatives, Immediate Office of the Administrator, Substance Abuse and Mental Health Services Administration, Harry Posman,Executive Secretary, Office of the Assistant Secretary for Aging, Administration on Aging, Kathy Rama, Technical Director, Division of Advocacy and Special Issues, Disabled and Elderly Health Programs Group, Center for Medicaid and State Operations, Centers for Medicare and Medicaid Services, Larry Rickards, Chief, Homeless Programs Branch, Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, Idalia Sanchez, Associate Director for Policy, Chief, Office of Policy Development, Division of Science and Policy, HIV/AIDS Bureau, Health Resources and Services Administration, Marsha Werner, Social Services Program Specialist, Office of Community Services, Administration for Children and Families. Territory has attended a Homeless Policy Academy. Territories have no matching requirements. o Support empirical studies and demonstration projects that develop and test the effectiveness of outreach and engagement strategies for various populations. For example, Strategy 2.9 did not address how the Department would measure progress in improving the access to mainstream services for eligible homeless clients. In addition, child support programs can help homeless noncustodial parents, through outreach, address any outstanding child support issues (perhaps helping them with the order modification process) and connecting them with organizations that can help them with basic skills, such as how to seek and maintain employment, and understand issues surrounding court and child support agency processes. Contents Strategic Action Plan Framework Each year, approximately one percent of the U.S. population, some 2-3 million individuals, experiences a night of homelessness that puts them in contact with a homeless assistance provider, and at least 800,000 people are homeless in the United States on any given night. The inclusion of at-risk populations further acknowledges that effectively preventing chronic homelessness requires the two-pronged strategy of ending the homeless cycle for those who are already homeless, and the prevention of new episodes of homelessness for those who are currently housed, but who are at risk of becoming homeless. As a flexible block grant to states, states are not required to report data related to homelessness. As the plan approached its third anniversary, the Work Group collectively reviewed the Departments progress towards achieving the goals outlined in the plan, and has concluded that significant progress has been made towards certain goals and strategies, where other goals and strategies needed additional focus. This Plan allows the Secretary to highlight the accomplishments that have been achieved over the past several years, as well as to chart a course for future activities for the Department that builds on the current efforts. PC.4.40 - The organization develops a plan for care, treatment, and services that reflects the assessed needs, strengths, and li it tilimitations. We measure our progress both quantitatively and qualitatively with clear procedures for recording and tracking data. Therefore, an entirely new goal that contains four separate strategies and focuses exclusively on homelessness data issues and how they relate to tracking Departmental success in addressing the problem of homelessness for the HHS clientele was added to the 2007 Plan. Remember that determining the treatment plan that fits best for any given patient is a long process of trial and error, one that can involve extensive medical history screening and other processes. o Develop and distribute a primer that will help explain what medical, behavioral health, and support services that would benefit individuals who are homeless can be reimbursed by Medicaid. An expert in the field of innovative housing solutions for the homeless, Louis serves on East Bay Housing Organizations Board of Directors and on the Executive Committee of the Alameda County Continuum of Care Council. Evaluation will examine both client and system-level outcomes, with data collection concluding in March 2007. Another key effort extending into the states is the work of the ICH to encourage the development of State Interagency Councils on Homelessness as well as state and local ten-year planning processes to end chronic homelessness. The mission of the child support enforcement program is to assure that assistance in obtaining support (both financial and medical) is available to children through locating parents, establishing paternity and support obligations, and enforcing those obligations. Introduce and/or reform transitional housing for youth, such as Foyer, to ensure best outcomes. This adaptation of clinical practice guidelines for homeless patients was developed by the Health Care for the Homeless Clinicians Network with support from the HIV/AIDS Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services. The findings presented through this project will serve to guide federal and state policymaking, to assist local practitioners in incorporating successful strategies into their programs, and to assist researchers to identify areas meriting future research. The U.S. Department of Health and Human Services has developed the Strategic Action Plan on Homelessness to outline a set of goals and strategies that will guide the Departments activities related to homelessness over the next several years. The SSBG is based on two fundamental principles: (1) state and local governments and communities are best able to determine the needs of individuals to help them achieve self-sufficiency; and (2) social and economic needs are interrelated and must be met simultaneously. 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